Transcript DNP Program Outcomes and Impact on Practice

DNP Program Outcomes and
Impact on Practice
Elizabeth F. Fuselier,
DNP,RN,APRN, BC
Family Nurse Practitioner
University of Tennessee Health
Science Center, Memphis, TN
Professional Evolution
National Accounts Representative in
Workers Compensation 1988-1991
FNP Practicing in Rural & Occupational
Medicine in MS and TN 1996-1998
Lead Nurse Practitioner, Ochsner Clinic
Foundation(OCF), New Orleans, LA
1998-2005
Clinical Practice, Department of Internal
Medicine, Emergency Medicine and
Pediatrics at OCF 1998-2205
Responsibilities as Lead NP
Developed a practice model of NP
utilization throughout OCF
Created NP practice opportunities in all
departments except plastics and
dermatology
Liaison for NPs to hospital and clinic
administration
Responsibilities cont.(1)
Created and implemented
credentialing, hiring, and orientation
policies
Developed evaluation and
competency policies and tools
Liaison to state, national,
governmental and professional
organizations
Served on medical residency
guidelines committee
Responsibilities Cont. (2)
Advocated for and increased NP
compensation, scope of practice, and
educational opportunities within OCF
and statewide.
Managed over 40 NPs, increased
overall staffing to 120 APRN’s
Worked with Lead Physician Assistant,
CRNA, and NNP to continue
advancement of practice at OCF
Transformation of Practice
OCF became accredited as a MAGNET
hospital in 2003
Evolution from problem based healthcare
to evidenced based patient and outcome
focus model
Clear mandates for increased nursing
research, and clinician skill set to assess,
incorporate and evaluate evidenced based
clinical practice
Transformation Cont. (2)
Medical Residency restrictions developed
and enforced
Became clear that a transformation for NP
practice was needed and opportunity was
there
In effort to lead, I had to lead by example
Needed to become a clinical expert
beyond the masters level
Transformation of Personal
Practice Model
MSN skill set was in place, but a void in
broader repertoire of critical thinking and
evaluation skills existed
Decision to seek a doctoral level education
was made
Evaluation of available doctoral programs
was made
Making the Right Choice
Chose University of Tennessee :
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Practice focused Doctorate
Distance learning program online
1:4 Ratio
970 clinical hours
DNP offered a cross sectional didactic,
clinical, and administrative toolbox for
advancement to a higher level of clinical
scholarship and practice
DNP offered a practical model
The Right Choice (cont)2
Program offered structured clinical
experience at a higher level than the MSN
to develop broader evidenced based
scope of practice
Provided the working language of bench
and clinical research
Fostered the development of a broader
array of analytical, theoretical,
philosophical and evaluative processes
The Right Choice (3)
The DNP provides the principles and lived
experiences to become a nurse leader in
clinical,academic, administrative,
community and policy making arenas
The DNP provides the didactics for one to
become a change agent to transform
advanced nursing practice
Lessons From the Front
Faculty provided critical networking
resources to allow for superior clinical
electives and residencies
Facilitated access to broad opportunities
and exposure to exemplary nursing
leaders across the healthcare spectrum
Impact on Current Practice
Appointed the first full time DNP faculty
position at the University of Texas Health
Science Center-Houston, November 2005
Assistant Professor in the Department of
Acute and Continuing Care
Appointment Cont(2)
Appointed Executive Clinical Director of
University of Texas Health Services
Will participate in committee to develop
innovative DNP and APRN practice
opportunities
“Leadership Is both something you
are and something you do”
Fred smith